Organization
START CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE BROUSSARD (VICE PRESIDENT OF COMPLIANCE)
(985) 333-2018
Entity
Organization
Contact information
Practice address
2350 LEVY ST STE 211, SHREVEPORT, LA 71103-3656
(318) 209-7766
Mailing address
PO BOX 165, HOUMA, LA 70361-0165
(985) 333-2020
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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